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Objective: To investigate the feasibility of using synchronous bile duct, left lobe of liver and common hepatic artery resection without reconstruction to improve the therapeutic efficacy of hilar cholangiocarcinoma (HC).Methods: A total of 22 patients with HC undergoing left-sided hepatectomy, hepatic artery resection and right hepatic ductjejunum anastomosis from June 2005 to December 2012 in our team were included prospectively in this study.